Individual
MRS. JAYLYNN REYNOLDS-FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3604 VERANDAH DRIVE, SUITE E, AUGUSTA, GA 30909
(706) 736-0221
(706) 736-0231
Mailing address
3604 VERANDAH DRIVE, SUITE E, AUGUSTA, GA 30909
(706) 736-0221
(706) 736-0231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005495
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000946063C
—
GA
01
—
340887
WELLCARE
GA
01
—
52991634-001
BCBS OF GEORGIA
GA
Enumeration date
11/30/2006
Last updated
03/24/2010
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